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EP0428490B1 - Träger zum Schrauben von Zahnimplantaten - Google Patents

Träger zum Schrauben von Zahnimplantaten Download PDF

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Publication number
EP0428490B1
EP0428490B1 EP90850367A EP90850367A EP0428490B1 EP 0428490 B1 EP0428490 B1 EP 0428490B1 EP 90850367 A EP90850367 A EP 90850367A EP 90850367 A EP90850367 A EP 90850367A EP 0428490 B1 EP0428490 B1 EP 0428490B1
Authority
EP
European Patent Office
Prior art keywords
screw
hand
tightening
implant
piece
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
EP90850367A
Other languages
English (en)
French (fr)
Other versions
EP0428490A1 (de
Inventor
Lars Jörnéus
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Nobel Biocare AB
Original Assignee
Nobelpharma AB
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Nobelpharma AB filed Critical Nobelpharma AB
Publication of EP0428490A1 publication Critical patent/EP0428490A1/de
Application granted granted Critical
Publication of EP0428490B1 publication Critical patent/EP0428490B1/de
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0089—Implanting tools or instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/08—Machine parts specially adapted for dentistry
    • A61C1/18—Flexible shafts; Clutches or the like; Bearings or lubricating arrangements; Drives or transmissions
    • A61C1/185—Drives or transmissions
    • A61C1/186—Drives or transmissions with torque adjusting or limiting means

Definitions

  • the present invention relates to an arrangement intended to be used together with the hand-piece of a drilling equipment used for mechanical tightening of a screw joint in a bone-anchored dental implant without imposing stress upon the tissue surrounding the implant, comprising a first part adapted for receiving a movable part of the drilling equipment and rotationally locked in relation to the implant and a second part in the form of an arm which is rigidly connected to the first part and extends substantially perpendicularly thereto.
  • dental prostheses have in general been anchored by means of a bridge construction with the aid of a number of fixtures, for example six pieces. If any of the screws comes loose, those remaining then ensure that the secure anchoring is still maintained.
  • one single screw is to be able to absorb all oral stresses such as torsion, stretching and pressure forces which arise. Especially important in this respect is the torsional load which tends to loosen the screw joint between distance screw and screw (fixture).
  • the distance element is provided with an inward, internal holder, in which one part of a double screwdriver adapted for the purpose fits.
  • the other part of the double screw-driver is designed as a conventional screwdriver and fits the screw-driver slot in the head of the distance screw.
  • the distance element is arranged on the firmly rooted screw (the fixture) in such a manner that first the spacer is locked firmly against the fixture with the aid of the distance screw which is screwed down into a bore in the fixture with the aid of the double screwdriver, in doing which it is ensured that the legs of the tubular part engage with recesses in the spacer and the other part of the screwdriver is passed through the tubular part so that it engages in the screwdriver slot in the screw head of the distance screw.
  • it is endeavoured to apply to the screwdriver parts torques of the same size but in opposite directions. This can, however, be difficult to achieve in practice, especially in the case of high tightening torques.
  • a power wrench equipped with a torque reaction bar is previously known from GB-A-2 110 141.
  • the bar is mounted fixed on the casing of the tool and intended to be put into firm contact with a stationary object like a projecting portion on either of the parts being clamped together by the joint being tightened.
  • the dental drill equipment cannot be provided with such a torque reaction bar as there is no projecting part on the parts joined together in the patient's mouth and which could interact with the bar and balance the torque.
  • FR-A-2 494 579 discloses an arrangement used on a dental drill.
  • This arrangement relates to a drill guide, however, which is used for perforating the cortical bone of the jaw.
  • the guide is fixed to the hand-piece of the drill via a helical spring which is connected at its top end to a clip which, in turn, fits onto the hand-piece. Even if this arrangement is used together with a dental drill equipment it is not obvious how such arrangement could be modified for controlling the tightening torque.
  • the aim of this invention is to produce an arrangement which makes possible a mechanically controlled tightening of the screw joint of a dental implant without any torque being absorbed by the bone, that is to say so that the screw (the fixture) remains unstressed during mounting itself.
  • the features which can essentially be considered as being characteristic of the invention are indicated in Patent Claim 1.
  • Figure 1 shows the arrangement together with a drill
  • Figure 2 shows a first alternative of the arrangement in two views
  • Figure 3 a second alternative which also shows more closely how the arrangement interacts with the screwdriver of the drill and the distance element of the dental implant.
  • Figure 1 shows the hand-piece 1 of a drill of a type known per se, which is used in connection with dental implant operations.
  • the drill is used both for drilling of holes in the jawbone and for tightening of screw joints in the implant system.
  • the drill is provided with a screwdriver 2 which is intended to interact with the screwdriver slot in the distance screw 3 which firmly locks the distance element against the upper part of the screw (the fixture), see Figure 3 also.
  • the threaded part 4 which is intended to engage with an internally threaded recess in the upper part of the fixture for locking the distance element against the fixture, protrudes from the distance screw.
  • Figure 1 also shows an arrangement 5 which interacts both with the distance element and with the hand-piece of the drill.
  • the arrangement consists of a first, tubular part 6, the base of which connects to the distance element and through which the movable part of the drill, the screwdriver, runs, and a second, fork-shaped part 7 which interacts with the stationary part of the drill, the hand-piece 1.
  • the arrangement 5 functions as a holder at the time of tightening of the screw joint.
  • the tightening torque does not come to stress the bone via the fixture since the fork-shaped part interacts with the hand-piece.
  • An undesirable rotation of spacer and fixture is prevented by the legs of the fork-shaped part.
  • FIG 2 a first example of the appearance of the arrangement 5 is shown. It comprises a first, tubular part 6, the base part of which is provided with an internal space 8 adapted to the spacer of the distance element in such a manner that the spacer is locked and cannot rotate in relation to the tubular part 6.
  • the internal hole 9 has such a diameter that the screwdriver tool of the drill can rotate freely in this space.
  • the tubular part 6 is provided with a fork 7, the base 7' of which extends essentially perpendicularly to the centre line 9' of the tubular part, and the legs 10 of which are essentially parallel to said centre line 9'.
  • the fork is U-shaped and its bottom 11 forms a support for the hand-piece of the drill, and the legs 10, 10' are of such a length that they exceed the diameter of the hand-piece, see Figure 2a and Figure 1.
  • FIG 3 a second example of the arrangement 5 according to the invention is shown.
  • the arrangement interacts, on the one hand, with the screwdriver tool 2 of the drill and, on the other hand, with the distance element of the dental implant, in the form of a spacer 12 and a distance screw 3.
  • the end surface 13 of the tubular part 6 bears against the shoulder located on the spacer 12 and the recess 8 corresponds to the cylindrical, hexagonal upper part of the spacer so that a rotation of the spacer in relation to the tubular part 6 is prevented.
  • the distance screw 3 is provided in known manner with a lower threaded part 4 intended to engage with an internally threaded recess in the upper part of the fixture for locking of the spacer against the fixture 14 which has been marked with broken lines in the Figure.
  • the distance screw also has a waist 15 and a screw head 16 with screwdriver slot 17, in which the screwdriver tool 2 of the drill engages.
  • the tightening torque does not come to stress the spacer 12, and consequently the fixture, since this torque is absorbed by the legs 10 of the fork.
  • the invention is not limited to the embodiments which are shown in Figures 2 and 3.
  • the important aspect is that the arrangement is rotationally locked against the stationary part of the tightening tool (the drill).
  • a fork with two legs is preferable for this locking since rotational locking in both directions can then be achieved and moreover provides a support and guide for the tightening tool.
  • a single arm which extends from the tubular part and interacts with the tightening tool can be sufficient.

Landscapes

  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dental Prosthetics (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
  • Dental Preparations (AREA)

Claims (4)

  1. Anordnung, die zusammen mit dem Griffteil einer Bohreinrichtung zum mechanischen Schrauben eines in Knochen verankerten Zahnimplantates verwendet werden soll, ohne das das Implantat umgebende Gewebe zu belasten, mit einem ersten Teil (6), das zur Aufnahme eines beweglichen Teiles der Bohreinrichtung ausgestaltet ist und in Bezug auf das Implantat gegen Drehung verriegelt ist, und einem zweiten Teil (7) der Form eines Armes, das fest mit dem ersten Teil (6) verbunden ist und sich im wesentlichen senkrecht dazu erstreckt, dadurch gekennzeichnet, daß der Arm sowohl Haltemittel für das Griffteil der Bohreinrichtung als auch auf Drehmoment reagierende Mittel (10), die mit dem Griffteil zur Vermeidung unerwünschter Drehbewegungen zusammenwirken, umfaßt.
  2. Anordnung nach Anspruch 1, dadurch gekennzeichnet, daß das erste Teil (6) ein im wesentlichen rohrförmiges Teil enthält, durch welches das bewegliche Teil in der Form eines Schraubendrehers der Bohreinrichtung durchgehen kann.
  3. Anordnung nach Anspruch 2, dadurch gekennzeichnet, daß das auf Drehmoment reagierende Mittel eine U-Form (10, 10') aufweist, in welcher das Griffteil der Bohreinrichtung ruht.
  4. Anordnung nach Anspruch 3, dadurch gekennzeichnet, daß das Grundteil des rohrförmigen Teiles (6) mit einem inneren Raum (8) ausgestaltet ist, der den oberen Teil des Zahnimplantates (Abstandselement) angepaßt ist, so daß Drehbewegungen zwischen dem Abstandselement und dem rohrförmigen Teil vermieden werden.
EP90850367A 1989-11-13 1990-11-07 Träger zum Schrauben von Zahnimplantaten Expired - Lifetime EP0428490B1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
SE8903797 1989-11-13
SE8903797A SE466786B (sv) 1989-11-13 1989-11-13 Anordning avsedd foer aatdragning av ett skruvfoerband i ett benfoerankrat tandimplantat

Publications (2)

Publication Number Publication Date
EP0428490A1 EP0428490A1 (de) 1991-05-22
EP0428490B1 true EP0428490B1 (de) 1994-04-06

Family

ID=20377452

Family Applications (1)

Application Number Title Priority Date Filing Date
EP90850367A Expired - Lifetime EP0428490B1 (de) 1989-11-13 1990-11-07 Träger zum Schrauben von Zahnimplantaten

Country Status (9)

Country Link
US (1) US5064375A (de)
EP (1) EP0428490B1 (de)
JP (1) JP2639408B2 (de)
AT (1) ATE103788T1 (de)
CA (1) CA2029717C (de)
DE (1) DE69007935T2 (de)
DK (1) DK0428490T3 (de)
ES (1) ES2051003T3 (de)
SE (1) SE466786B (de)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6951462B2 (en) 2002-06-04 2005-10-04 Zimmer Dental Inc. Dental tool with rententive feature

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US5338195A (en) * 1992-01-27 1994-08-16 Flannagan Michael L Dental handpiece shroud to protect against percutaneous injury
US5692904A (en) * 1993-02-11 1997-12-02 Implant Innovations, Inc. Method and means for affixing a component to a dental implant
US5437550A (en) * 1993-02-11 1995-08-01 Implant Innovations, Inc. Method and means for affixing a component to a dental implant
US5322443A (en) * 1993-02-11 1994-06-21 Implant Innovations, Inc. Method and means for affixing a component to a dental implant
US5938443A (en) 1994-11-08 1999-08-17 Implant Innovations, Inc. Impression coping for use in an open tray and closed tray impression methodology
US5626474A (en) * 1995-06-28 1997-05-06 Kukla; Thomas S. Implant torque wrench
SE505898C2 (sv) * 1996-01-04 1997-10-20 Nobel Biocare Ab Anordning vid åtdragning av ett skruvförband i ett benförankrat tandimplantat
US6619958B2 (en) 1997-04-09 2003-09-16 Implant Innovations, Inc. Implant delivery system
US5951287A (en) * 1997-04-17 1999-09-14 Hawkinson; Roy T. Dental implant failed fastener recovery systems, devices and methods
SE509522C2 (sv) 1997-06-03 1999-02-08 Nobel Biocare Ab Metod och anordning att effektuera cementerad suprastruktur samt distansorgan och sortiment av distansorgan
KR100632389B1 (ko) 1998-12-23 2006-10-11 임플랜트 이노베이션즈, 인코오포레이티드 치과 의학용의 토오크 인디케이터를 구비하는 래칫 렌치
BR0015412B1 (pt) 1999-11-10 2009-05-05 componentes de cicatrização para uso na tomada de impressões e métodos para sua fabricação.
US6790040B2 (en) 1999-11-10 2004-09-14 Implant Innovations, Inc. Healing components for use in taking impressions and methods for making the same
EP1182986A1 (de) 2000-01-24 2002-03-06 Chang, ang-Kohn Dentales implantatsystem
IL190642A (en) 2002-11-13 2011-06-30 Biomet 3I Llc Dental implant system
US8185224B2 (en) 2005-06-30 2012-05-22 Biomet 3I, Llc Method for manufacturing dental implant components
CN101370441B (zh) 2005-10-24 2013-11-13 拜奥美特3i有限责任公司 制造牙科植入物元件的方法
US8257083B2 (en) 2005-10-24 2012-09-04 Biomet 3I, Llc Methods for placing an implant analog in a physical model of the patient's mouth
US11219511B2 (en) 2005-10-24 2022-01-11 Biomet 3I, Llc Methods for placing an implant analog in a physical model of the patient's mouth
USD548342S1 (en) * 2005-11-25 2007-08-07 Yechiel Cohen Dental handpiece
US8206153B2 (en) 2007-05-18 2012-06-26 Biomet 3I, Inc. Method for selecting implant components
USD600347S1 (en) * 2007-10-09 2009-09-15 Kaltenbach & Voight Gmbh Dental instrument
EP2060240A3 (de) 2007-11-16 2009-08-12 Biomet 3i, LLC Komponenten zur Verwendung mit einer chirurgischen Schablone für eine Zahnimplantatplatzierung
US20100062390A1 (en) * 2007-11-21 2010-03-11 Boaz Hetsroni Cordless pre-calibrated torque driver with abutment holder for implant prosthetics and methods of use
ES2341823B1 (es) * 2007-12-07 2012-11-27 Marcela Ridao Dalmau Llave para implantes dentales
ES2683119T3 (es) 2008-04-15 2018-09-25 Biomet 3I, Llc Método de creación de un modelo dental digital preciso de huesos y tejidos blandos
ES2559402T3 (es) 2008-04-16 2016-02-12 Biomet 3I, Llc Método para la visualización pre-operatoria de instrumentación utilizada con una guía quirúrgica para la colocación de implantes dentales
ES2477288T3 (es) 2010-12-07 2014-07-16 Biomet 3I, Llc Elemento de exploración universal para su uso en un implante dental y en análogos de implante dental
US20120288826A1 (en) * 2011-05-11 2012-11-15 Fitton Iii Russell P Dental Implants and Methods for Their Insertion into Patients
WO2012158769A1 (en) 2011-05-16 2012-11-22 Biomet 3I, Llc Temporary abutment with combination of scanning features and provisionalization features
US9925024B2 (en) 2011-06-28 2018-03-27 Biomet 3I, Llc Dental implant and abutment tools
US9452032B2 (en) 2012-01-23 2016-09-27 Biomet 3I, Llc Soft tissue preservation temporary (shell) immediate-implant abutment with biological active surface
US9089382B2 (en) 2012-01-23 2015-07-28 Biomet 3I, Llc Method and apparatus for recording spatial gingival soft tissue relationship to implant placement within alveolar bone for immediate-implant placement
US20140080092A1 (en) 2012-09-14 2014-03-20 Biomet 3I, Llc Temporary dental prosthesis for use in developing final dental prosthesis
KR101437376B1 (ko) 2012-10-31 2014-09-15 주식회사 제노스 임플란트 시술용 어버트먼트 홀더
GB2509138A (en) 2012-12-21 2014-06-25 Nobel Biocare Services Ag Dental component with screw fixation
GB2509136A (en) 2012-12-21 2014-06-25 Nobel Biocare Services Ag Dental component with metal adapter
GB2509135A (en) 2012-12-21 2014-06-25 Nobel Biocare Services Ag An abutment with conical metal adapter
US8926328B2 (en) 2012-12-27 2015-01-06 Biomet 3I, Llc Jigs for placing dental implant analogs in models and methods of doing the same
US9839496B2 (en) 2013-02-19 2017-12-12 Biomet 3I, Llc Patient-specific dental prosthesis and gingival contouring developed by predictive modeling
ES2728867T3 (es) 2013-04-09 2019-10-29 Biomet 3I Llc Implante dental con superficie superior codificada
EP3998040A1 (de) 2013-12-20 2022-05-18 Biomet 3i, LLC Zahnärztliches methode zur entwicklung von angepassten prothesen durch abtasten von codierten elementen
US9700390B2 (en) 2014-08-22 2017-07-11 Biomet 3I, Llc Soft-tissue preservation arrangement and method
US10449018B2 (en) 2015-03-09 2019-10-22 Stephen J. Chu Gingival ovate pontic and methods of using the same
US9744654B2 (en) 2015-06-23 2017-08-29 Medos International Sarl Surgical devices and methods for driving an implant and applying counter torque
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6951462B2 (en) 2002-06-04 2005-10-04 Zimmer Dental Inc. Dental tool with rententive feature

Also Published As

Publication number Publication date
CA2029717A1 (en) 1991-05-14
SE466786B (sv) 1992-04-06
JP2639408B2 (ja) 1997-08-13
EP0428490A1 (de) 1991-05-22
DE69007935D1 (de) 1994-05-11
DE69007935T2 (de) 1994-07-21
SE8903797L (sv) 1991-05-14
DK0428490T3 (da) 1994-08-08
ES2051003T3 (es) 1994-06-01
JPH03178651A (ja) 1991-08-02
US5064375A (en) 1991-11-12
ATE103788T1 (de) 1994-04-15
SE8903797D0 (sv) 1989-11-13
CA2029717C (en) 2000-05-23

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